DR. HEATHER MARIE BURGESS-PETERSON (O.D.) – Optometrist, NPI 1720071798

DR. HEATHER MARIE BURGESS-PETERSON (O.D.) is a healthcare provider. based in Spring lake, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901003806 (MI). The NPI Number for DR. HEATHER MARIE BURGESS-PETERSON (O.D.) is 1720071798

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER MARIE BURGESS-PETERSON (O.D.)
NPI
1720071798
Phone
(231) 719-9200
Address
15780 RIDGE LN
Enumeration Date
25 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
2317199200
Graduation Year
1992 (34 years ago)
PAC ID
8921097239
Group Practice PAC ID
0547217184
Professional Enrollment ID
I20040511001204
Address ID
MI494451594NO1871XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. HEATHER MARIE BURGESS-PETERSON (O.D.)

  • Spring Lake, Mercer Avenue, Spring Lake, Monmouth County, New Jersey, 07762, United States

    SPRING LAKE, MI 494561557

    Phone: (231) 719-9200

    Fax: (231) 744-6782

    Type: Mailing

  • 1871, Holton Road, Muskegon Township, Muskegon County, Michigan, 49445, United States

    SUITE A

    MUSKEGON, MI 494451594

    Phone: (231) 719-9200

    Fax: (231) 744-6782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Alcon Vision LLC ($264).

Total Amount

$277

General + Research + Ownership

Payments

8

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040511001204IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2827$0
92250Photography of the retina2525$0
92004New patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 49456)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547217184View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YIL
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

How do I look up DR. HEATHER MARIE BURGESS-PETERSON (O.D.) by NPI?
Use NPI 1720071798 when you need to reference DR. HEATHER MARIE BURGESS-PETERSON (O.D.) in forms, claims, or directories.
Is DR. HEATHER MARIE BURGESS-PETERSON (O.D.)'s NPI currently valid?
The extract we use shows DR. HEATHER MARIE BURGESS-PETERSON (O.D.) as active.
Can you summarize DR. HEATHER MARIE BURGESS-PETERSON (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. HEATHER MARIE BURGESS-PETERSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. HEATHER MARIE BURGESS-PETERSON (O.D.)?
We surface Spring Lake, Michigan for DR. HEATHER MARIE BURGESS-PETERSON (O.D.) based on available NPPES addresses.
Is DR. HEATHER MARIE BURGESS-PETERSON (O.D.) a real provider?
This page reflects official NPPES data for NPI 1720071798. Always confirm identity and privileges with the practice and licensing boards.

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